Biadglegne Fantahun, Anagaw Belay, Tessema Belay, Getachew Aseffa, Andargie Gashaw, Abera Bayeh, Belyhun Yeshambel, Mulu Andargachew
Department of Microbiology, Immunology and Parasitology, College of Medicine and Health Sciences, Bahir Dar University, Ethiopia.
Ethiop Med J. 2011 Jul;49(3):169-77.
BACKGROUND: Voluntary HIV counseling and testing allows individuals to know their HIV status and serve as a key strategy entry point to prevention, treatment, care and support services. Voluntary counselling and HIV testing have become an increasingly important area of HIV prevention and care in Ethiopia. OBJECTIVE: To assess the current Voluntary Counseling and Testing (VCT) service in Amhara Regional State, Northwest Ethiopia in terms of physical facilities, client's satisfaction on VCT services and counselor's perception. METHODS: A cross sectional study was conducted in 37 VCT centers. A total of 45 counselors and 222 VCT clients who came to get VCT services participated in the study. A structured and pre-tested questionnaire was used to collect information on the physical facilities, client's satisfaction and counselor's perception on the services. RESULTS: All VCT service delivery rooms were small in size and more than half of the VCT rooms were poorly ventilated. None of them had behavior change communication (BCC) or information education and communication (IEC) materials for teaching clients. Most counselors thought that they had not received in-service training supervision and support. Clients with high educational status were less willing to get VCT Though clients were dissatisfied with the physical facilities of the VCT centers, they also expressed feelings of satisfaction and fulfillment during counseling. Thirteen of the counselors were community counselors. The most important reason for seeking VCT services were found to be fear of being exposed for HIV infection. Females were more likely to be motivated of perception of own high risk sexual behaviour than males (P value = 0.0001). CONCLUSION: The physical facilities and VCT procedures in many of the VCT centers were below satisfactory. A large number of people visit VCT despite the poor facilities and procedures in most VCT centers. This study augmented information to the literature on motivation for HIV testing and introduction of community counsellors in Ethiopia. However, to provide good quality VCT service, accessible physical facilities and VCT procedures need to be improved
背景：自愿咨询检测可使个人了解自身的艾滋病毒感染状况，并成为预防、治疗、护理及支持服务的关键策略切入点。在埃塞俄比亚，自愿咨询和艾滋病毒检测已成为艾滋病毒预防与护理领域日益重要的一个方面。 目的：从硬件设施、服务对象对自愿咨询检测服务的满意度以及咨询人员的看法等方面，评估埃塞俄比亚西北部阿姆哈拉州目前的自愿咨询检测（VCT）服务情况。 方法：在37个自愿咨询检测中心开展了一项横断面研究。共有45名咨询人员和222名前来接受自愿咨询检测服务的服务对象参与了该研究。采用一份经过结构化设计且预先测试的问卷来收集有关硬件设施、服务对象满意度以及咨询人员对服务看法的信息。 结果：所有自愿咨询检测服务提供室面积都很小，超过半数的自愿咨询检测室通风不良。没有一个配备有用于向服务对象开展行为改变交流（BCC）或信息教育与交流（IEC）的资料。大多数咨询人员认为他们没有接受过在职培训、监督和支持。受教育程度高的服务对象不太愿意接受自愿咨询检测。尽管服务对象对自愿咨询检测中心的硬件设施不满意，但他们在咨询过程中也表达了满意和满足之情。13名咨询人员为社区咨询人员。寻求自愿咨询检测服务的最重要原因是担心感染艾滋病毒。女性因认识到自身高风险性行为而接受检测的动机比男性更强（P值 = 0.0001）。 结论：许多自愿咨询检测中心的硬件设施和检测程序都不尽人意。尽管大多数自愿咨询检测中心的设施和程序欠佳，但仍有大量人员前来接受检测。本研究为埃塞俄比亚有关艾滋病毒检测动机及引入社区咨询人员的文献增添了资料。然而，要提供高质量的自愿咨询检测服务，需要改善可利用的硬件设施和检测程序。
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